TIMOTHY MATTISON DO – NPI #1912977125
Radiology

A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

TIMOTHY MATTISON is a radiologist located in CAMP LEJEUNE, NC. NPPES has assigned the NPI number 1912977125 to TIMOTHY MATTISON on January 23, 2006. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 2085R0202X from the Health Care Provider Taxonomy code set, which is classified as Radiology, specializing in Diagnostic Radiology

The NPI profile was previously updated about 6 years ago on Mar 27, 2020. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TIMOTHY MATTISON below.

NPI Profile for
TIMOTHY MATTISON

NPI Number
1912977125
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
TIMOTHY MATTISON
Credentials
DO
Primary location
100 BREWSTER BLVD BLDG H100
CAMP LEJEUNE, NC 28547-2575
Phone: (910) 450-4800 Fax:
Mailing address
2006 HOODS CREEK DR
NEW BERN, NC 28562-9130
Phone: Fax:
Sole Proprietor
No
Updated
Certification Date
Mar 27, 2020

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2085R0202X
- Radiology / Diagnostic Radiology (Primary)
NC 2019-01943
2083A0100X
- Preventive Medicine / Aerospace Medicine
VA 0102201360

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.